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<br />ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYV) <br />07/10/01 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />BAUER & ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />14427 7th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />DADE CITY FL 33523 INSURERS AFFORDING COVERAGE <br />(352) 567-3702 <br />INSURED STEPHEN NORWOOD dba INSURERABURLINGTON INSURANCE CO. <br /> STEVE'S SNOBALLS INSURER B: <br /> 40251 SUNBURST DRIVE INSURER c: <br /> DADE CITY, FL 33525 INSURER D: <br /> I INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY Be ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />l'r1: TYPE OF INSURANCE POUCY NUMBER ~~CY EFFECTIVE '1:~~Y EXPIRATION UMITS <br /> GENERAL UABIUTY EACH OCCURRENCE $500,000 <br /> r:- 50,000 <br /> X COMMERCIAL GENERAL UABIUTY FIRE DAMAGE (Anyone fire) $ <br /> I CLAIMS MADE [K] OCCUR MED EXP (Anyone person) $ 1,000 <br />A E69786 7/11/01 7/11/02 PERSONAL & ADV INJURY $500 000 <br /> - $500 000 <br /> GENERAL AGGREGATE <br /> r--- $500,000 <br /> GEN'L AGGRnTE UMIT APlS PER: PRODUCTS, COMP/OP AGG <br /> Il POUCY ~~g. LaC <br /> AUTOMOBILE UABIUTY COMBINED SINGLE UMIT <br /> - $ <br /> ANY AUTO I (Ea accident) <br /> - <br /> ALL OWNED AUTOS <br /> - BODILY INJURY $ <br /> SCHEDULED AUTOS (per person) <br /> - <br /> HIRED AUTOS BODILY INJURY <br /> - $ <br /> NON-OWNED AUTOS (per accident) <br /> - <br /> r--- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABIUTY AUTO ONLY, EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS UABIUTY EACH OCCURRENCE $ <br /> =:J OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I WCSTATU- I IO~- <br /> EMPLOYERS' UABIUTY TORY UMITS <br /> E.L EACH ACCIDENT $ <br /> E.L DISEASE, EA EMPLOYEE $ <br /> E.L DISEASE, POUCY UMIT $ <br /> OTHER <br />'DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />SNOBALLS <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1.Q DAYS WRITTEN <br /> CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> CITY HALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> ZEPHYRHILLS FL REPRESENTATIVE~ ~ <br /> AUTHe:::;EP7;A~ &. 7/1/ )0/ <br /> I 'Jj 11 ~ 1 <br />ACORD 25-S (7/97) @ACORD CORPORATION 1988 <br />